7196 Columbia River Road
Pasco, WA 99301
Phone: 509/544-9682
Fax: 509/544-8851
Email: newzealmom@aol.com

BOARDING RESERVATION

*OWNER:  
*PHONE:  
ADDRESS:  
CITY:  
STATE:   ZIP CODE:
EMAIL ADDRESS:  
BOARDING DATES:   FROM:    TO: 

#1 BREED:   NAME: WEIGHT:
M   N
F   S
#2 BREED:   NAME: WEIGHT:
M   N
F   S
#3 BREED:   NAME: WEIGHT:
M   N
F   S
#4 BREED:   NAME: WEIGHT:
M   N
F   S
#5 BREED:   NAME: WEIGHT:
M   N
F   S
#6 BREED:   NAME: WEIGHT:
M   N
F   S

We suggest you bring a toy, blanket, an article of clothing or some familiar object with you to leave with your pet while he/she is with us.  We find that this helps your dog or cat adjust to the new surroundings.

GROOMING/BATHING:     YES    NO         DATE REQUESTED:  
 
COMMENTS/INSTRUCTIONS:

VACCINATIONS
Vaccinations required prior to boarding. Please list date due.
(Good for 1 year except for Rabies):
   
DOGS DATE DUE:

Rabies
(1 year for under 6 months, 3 years for booster)
 
Distemper Combo (DHLPPC)
Distemper/Hepatitis/Leptospirosis/
Parainfluenza/Parvovirus/Corona
   
Canine Cough (Bordetello) (Intra-TracII)


CATS 
FVRCP
Leukemia
Rabies

PLEASE BRING VACCINATION CERTIFICATES WITH YOU WHEN YOU FIRST BOARD WITH US OR WHENEVER YOUR PET IS RE-VACCINATED.

VETERINARIAN:    PHONE NUMBER: 
 
Existing medical conditions and ongoing treatments:

PERSONS TO CONTACT IN CASE OF EMERGENCY
(friend or relative who can take responsibility for your pet):
NAME: PHONE: 
NAME: PHONE: 

PHONE AND/OR LOCATION WHERE YOU MAY BE REACHED:

Click the SUBMIT button to submit this reservation by email.
Print this page out if you would like to fax it.
FAX - (509) 544-8851

Submitting this form does not ensure you a reservation. Once we receive this form we will call you for more information or to confirm your reservation.

Copy the text as it appears in the image below before submitting.


 

 

 

 

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